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Health Insurance & Eligibility Specialist
Location:
San Francisco, CA
Description:
On Lok PACE We are a non-profit committed to our participants. Dedicated to The Care of Elders: PACE ( P rogram of A ll-Inclusive C are for the E lderly) was developed to answer the many problems around caring for frail seniors. The PACE model is centered on the belief that it is better for the well-being of seniors with chronic care needs and their families to be served in their community whenever possible. Seniors, their family members, and caregivers face many issues, including transportation to appointments, management of medications, coordination of medical care from different specialists, lack of social interaction, and ability to stay alone at home. On Lok PACE participants receive in home care services and transportation to a On Lok PACE center for primary medical care, social and recreational activities, and other senior care services. We understand the importance of a system that works together. Your expertise, drive and passion can help us carry out our mission to improve lives and advance healthcare. Join our team of leaders to begin a rewarding career! DUTIES / RESPONSIBILITIES: On behalf of Lifeways' participants, elicit and identify need for Federal and State entitlement programs and public assistance programs such as Medicare, Medi-Cal, SSI, SSA, CAPI, General Assistance, etc. Understand and act on situations where there may be changes in status to participants' eligibility for entitlement or public assistance programs. Resolve discrepancies or other issues related to a participant's public assistance program eligibility as needed including Medi-Cal, SSI, SSA, CAPI and Medicare. Ensure on-going Medi-Cal eligibility for On Lok Lifeways participants, through ensuring timely and accurate redetermination applications, as well as identify and apply for those that would qualify for Medi-Cal benefits. Develop key relationships with county social services department in all Lifeways' service areas. Actively work with Marketing & Enrollment (M&E) department to assist the staff in determining a potential participant's Medi-Cal status and potential share of cost/premium. Understand and apply rules, regulations, and policies related to entitlement and public assistance programs and work collaboratively to address participant status issues with Lifeways staff such as Social Workers, M&E staff, Finance staff, etc. Serve as a resource to staff and provide in-services as needed. Train or in-service Program Operations and M&E staff as needed and develop training materials as necessary. Develop and apply policies and procedures governing Lifeways' RCFE payment. Identify available resources, and communicate with others to obtain and verify information concerning eligibility. Other duties as assigned. QUALIFICATIONS (knowledge, skills, abilities): Bachelor's Degree or 3+ years' experience determining eligibility for California's entitlement and public assistance programs Excellent interpersonal, written and verbal communication skills Ability to explain and assist with complicated and detailed financial situations involving entitlement and public assistance programs. Excellent time management skills, ability to work independently and multi-task Demonstrates good judgment, resourcefulness, flexibility and problem solving Possesses sensitivity and awareness of diverse cultural perspectives and the ability to work with diverse populations Proficiency with MS Office (Word, Excel, and PowerPoint) required Valid CA Driver's license in good standing with personal automobile and insurance Ability to work non-standard hours when needed Bilingual in Spanish/English or Cantonese/English skills are preferred. The above statements are intended to describe the general nature of work performed. They are not considered as an exhaustive list of all job tasks performed. On Lok reserves the right to change job descriptions, work hours or work sites as required by the program. On Lok's Employee Benefits include (eligible for any position for 20 hr/wk or more): Medical, Dental, and Vision coverage Retirement Savings Plan 403(b) and Term Life/AD&D Insurance Flexible Spending Account, Commuter Checks, MLA scholarships, Employee Assistance Program (EAP) Pet Insurance and additional discounts Holidays (10 per year), vacation time, sick leave, and long-term disability insurance Your final compensation offer will be determined based on factors such as skills, experience, education, and licenses/certifications. The pay range is expressed as an hourly rate regardless of FLSA status. Exempt positions are paid salaried and are not subject to overtime. Pursuant to the San Francisco Fair Chance Ordinance, and state and federal laws (including federal PACE requirements at 42 CFR 460.64(a); 460.68(a), we will consider for employment qualified applicants with arrest and conviction records. On Lok is an equal opportunity employer committed to a diverse and inclusive workforce. All applicants will receive consideration for employment without regard to sex (including pregnancy), race, religion, color, gender, gender identity, gender expression, sexual orientation, national origin, ancestry, disability, medical condition, genetic information, marital status, age, military or veteran status, or any other legally protected status. If you require reasonable accommodation to participate in the job application or interview process, to perform essential job functions and/or to receive other terms, privileges or benefits of employment please contact Recruitment ( XXXX@onlok.org ). Job Posted by ApplicantPro
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More About this Listing: Health Insurance & Eligibility Specialist
Health Insurance & Eligibility Specialist is a Insurance Jobs Insurance Agent Job at On Lok located in San Francisco CA. Find other listings like Health Insurance & Eligibility Specialist by searching Oodle for Insurance Jobs Insurance Agent Jobs.
Health Insurance & Eligibility Specialist is a Insurance Jobs Insurance Agent Job at On Lok located in San Francisco CA. Find other listings like Health Insurance & Eligibility Specialist by searching Oodle for Insurance Jobs Insurance Agent Jobs.